MRS. TRACY S BASS (NPI# 1366580888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366580888 |
| Entity Type | Individual |
| Full Name | MRS. TRACY S BASS |
| Credential | RDH |
| Practice Address |
274 Whittle Cir Ashburn GA 31714-1918 |
| Mailing Address |
462 Red Oak Rd Tifton GA 31793-5333 |
| Practice Telephone | 2295674316 |
| Practice Fax Number | 2295674316 |
| Mailing Telephone | 2295674316 |
| Mailing Fax Number | 2295674316 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | DH005972 | GA | Dental Providers |
| Street Address |
274 WHITTLE CIR |
| City | ASHBURN |
| State | GA |
| Zip Code | 31714-1918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518020122 | Christopher J. White | Dentist | 274 Whittle Cir, Ashburn, GA 31714-1918 | 2006-12-18 |
| 1477854693 | Susan Perkins Scott | Dental Hygienist | 274 Whittle Cir, Ashburn, GA 31714-1918 | 2010-11-04 |
| 1033448451 | Wendy M Hancock | Dental Hygienist | 274 Whittle Cir, Ashburn, GA 31714-1918 | 2009-12-14 |
| 1023157567 | Christopher J. White, Dds, Inc. | Dentist | 274 Whittle Cir, Ashburn, GA 31714-1918 | 2007-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982050639 | Clinton Cawley | Student in an Organized Health Care Education/Training Program | 4022 Coverdale Hwy, Ashburn, GA 31714 | 2016-05-12 |
| 1972902369 | Genesis Dme, Inc. | Durable Medical Equipment & Medical Supplies | 237 E. Washington Ave., Ashburn, GA 31714 | 2014-08-21 |
| 1386952265 | United Rehab Inc. | Clinic/Center | 441 Industrial Blvd, Ashburn, GA 31714 | 2010-09-14 |
| 1851465645 | Mary Grace Hobby I | Speech-Language Pathologist | 177 Hobby Ln, Ashburn, GA 31714-1926 | 2006-11-20 |
| 1992323554 | Montakesha Range Hillmon | Contractor | 1045 Martin Luther King Jr Dr Lot 42, Ashburn, GA 31714-2146 | 2020-07-10 |
| 1497238877 | Cynthia Lynn Cleghorn | Nurse Practitioner | 2837 Son Story Rd, Ashburn, GA 31714-2285 | 2018-09-11 |
| 1457622912 | Jennifer Chapman Chalon | Counselor | 1087 Pineknot Rd, Ashburn, GA 31714-3405 | 2012-01-15 |
| 1356414569 | South Georgia Csb | Clinic/Center | 391 County Farm Rd, Ashburn, GA 31714-3413 | 2006-11-16 |
| 1871148056 | Sara Ann Taft | Technician | 118 Arnold Rd, Ashburn, GA 31714-4600 | 2019-08-05 |
| 1922666957 | William Charles Dunn | Pharmacist | 123 E College Ave, Ashburn, GA 31714-5203 | 2019-06-04 |
| Find all providers in zip 31714 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679055271 | Sheila Allen | Dental Hygienist | 705 Hudson Ave, Ashburn, GA 31714-5312 | 2018-08-30 |
| 1477854693 | Susan Perkins Scott | Dental Hygienist | 274 Whittle Cir, Ashburn, GA 31714-1918 | 2010-11-04 |
| 1609107564 | Denise Elling | Dental Hygienist | 20955 Professional Plz, Suite 110, Ashburn, VA 20147-3405 | 2010-01-15 |
| 1033448451 | Wendy M Hancock | Dental Hygienist | 274 Whittle Cir, Ashburn, GA 31714-1918 | 2009-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152197 | Leighann Elizabeth Rutland | Dental Hygienist | 119 Timberland Rd, Richmond Hill, GA 31324-4138 | 2020-10-23 |
| 1215543871 | Amy Lynnstarr Cohn | Dental Hygienist | 1252 Dunwoody Cv, Atlanta, GA 30338-2306 | 2020-09-18 |
| 1881214864 | Shante' L Mosley | Dental Hygienist | 2118 Belhaven Ln Se, Atlanta, GA 30315-6802 | 2020-04-20 |
| 1427687763 | Shelandra Barnes | Dental Hygienist | 3200 Highlands Pkwy Se Ste 110, Smyrna, GA 30082-5192 | 2020-04-08 |
| 1710516141 | Sara Jane Dever | Dental Hygienist | 955 Summerfield Dr, Cumming, GA 30040-1016 | 2020-04-07 |
| 1386273282 | Laranda Ninomiya | Dental Hygienist | 1595 Asheforde Dr, Marietta, GA 30068-1850 | 2020-04-03 |
| 1336778133 | Wazuri Deanna King | Dental Hygienist | 1505 W 3rd Ave Ste A, Albany, GA 31707-4420 | 2020-04-03 |
| 1669001467 | Pamela Cushenan | Dental Hygienist | 3000 Canton Hills Dr, Marietta, GA 30062-6746 | 2020-04-03 |
| 1285263095 | Judy Anne Stephenson | Dental Hygienist | 183 Paradise Blvd Ste 103b, Athens, GA 30607-1169 | 2020-04-03 |
| 1861021677 | Morristine Lynn Mcclain | Dental Hygienist | 3890 Redwine Rd Sw Ste 206, Atlanta, GA 30331-5583 | 2020-04-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.